Individual provider Active NPI

Randy Peter Bouligny, MD

  • Ophthalmology Physician
  • Bogalusa, LA
National Provider Identifier
1609808294
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
021802 Issued in LA
Practice address
409 Avenue F
Bogalusa, LA 70427-3633
Phone
(504) 455-1816
Fax
(504) 887-7816
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 021802 LA Primary

Addresses

Primary practice location

409 Avenue F
Bogalusa, LA 70427-3633

Mailing address

409 Avenue F
Bogalusa, LA 70427-3633
Phone (985) 735-8137

Other identifiers 1

IdentifierTypeStateIssuer
1627593MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050913000872 LA Practitioner - Ophthalmology 1951391705 Reassigns benefits to 1 organization
I20130624000648 CT Practitioner - Ophthalmology 1951391705

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates LLCGroup PAC ID 0648205740, 6 clinicians

Practice addresses (Care Compare)

120 Ochsner Blvd
Gretna, LA 70056-5248
Phone (504) 391-7545

3530 Houma Blvd
Suite 203
Metairie, LA 70006-4203
Phone (504) 887-7660

409 Ave F
Bogalusa, LA 70427-3633
Phone (985) 735-8137

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021802LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Fichman MD PC CurrentSince Apr 8, 2013 Accepting new patients
Eye Associates LLC Ophthalmology CurrentSince Mar 31, 2019 Accepting new patients
Richard a. Fichman, MD PC Ophthalmology CurrentSince Apr 8, 2013 Accepting new patients
Germer Haley LLC Ophthalmology CurrentSince Mar 31, 2019 Accepting new patients
Eyes of Texas, LLP Ophthalmology Past Accepting new patients
Randy P Bouligny MD Ophthalmology PastSince Aug 10, 2012 Accepting new patients
Alan D Smith MD PA Ophthalmology Past Accepting new patients

Locations

178 Hartford Rd
Manchester, CT 06040
Phone (860) 649-9973

1144 E Main St
Torrington, CT 06790
Phone (860) 489-7671

409 Avenue F
Bogalusa, LA 70427
Phone (985) 735-8137

3530 Houma Blvd
Metairie, LA 70006
Phone (504) 779-2667

3530 Houma Blvd
Ste 203
Metairie, LA 70006
Phone (504) 455-1816

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1609808294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273633",
            "telephone_number": "985-735-8137",
            "fax_number": "985-732-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273633",
            "telephone_number": "504-455-1816",
            "fax_number": "504-887-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULIGNY",
        "first_name": "RANDY",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "021802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627593",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.